Individual
DR. BERNARDO F VILLACIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
12907 VISTA HVN, SAN ANTONIO, TX 78216-1703
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
134062-1
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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